It’s looking that way. The ABIM looks to be phasing out procedures that are traditionally taught:
The authors distinguished between the types of procedures residents would be taught to do versus those that they would be taught about.In regard to the latter, we are told that for certain procedures, only what the ABIM refers to as “cognitive competence” will be required . . . Included in the set of procedures are several that many of us older internists consider basic internist activities: thoracentesis, abdominal paracentesis, naso-gastric intubation and lumbar puncture.
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I am two years out from residency. We were “waived” on thoracentesis, because at most there would be 2-3 done the old-fashioned way in the hospital PER YEAR. They were all done under U/S or CT by IR.
That said, the rest of the procedures were easier to obtain. In the real world I have needed to learn to intubate without training (anesthesia did it), so maybe they need to expand residents’ horizons and not further restrict them.
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